1. A 58-year-old male with a history of COPD presents with increased shortness of breath. Which assessment finding would indicate the need for immediate intervention? A. Oxygen saturation of 89% on room air B. Use of accessory muscles to breathe C. A productive cough with green sputum D. A respiratory rate of 22 breaths per minute Answer: A Rationale: An oxygen saturation below 90% indicates hypoxemia and requires prompt intervention to improve oxygenation. 2. During a cardiovascular assessment, you note a grade III/VI systolic murmur best heard at the right sternal border. Which additional finding would be most concerning? A. Carotid pulse with a brisk upstroke B. Jugular venous distension C. A displaced apical impulse D. Pitting edema in the lower extremities Answer: B Rationale: Jugular venous distension can indicate right-sided heart failure and warrants further evaluation.